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13001 STOCKDALE HWY (12)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION s'� 1501 TRUXTUN AVENUE �` 2 (661) 326 -3979 STG kr)216- di?r?hi 1 Location: )30c>/ SToc /l�2 /� / w•� 1301e e 5 -l;�Zhl CA 933,151 You are hereby required to take the following action at the above location; \INCORRECT & CALL FOR REINSPECTION ❑CORRECT & PROCEED Ay, 3) ill. IPt`oI�C_F �.'i ?G �r7- 1'AJ4i1) ?N5id,-- Completion Date for Corrections: b Received �: �(� ., , v Inspector: Ernie Medina Initial: Date: Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am) CORRECTION NOTICE ,BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION rn ; 1501 TRUXTUN AVENUE (661) 326 -3979 Sri r .k �• "?: • , "Jr Location: t .tea : jd You are hereby required to take the following action at the above location; `IjCORRECT & CALL FOR REINSPECTION ❑CORRECT & PROCEED w r. j 'J.i%v °e t,r �•r. ,C' s ,�' •7 •-• - fi I� ':tl ` 1 Completion Date for Corrections: Ir. / S / /D Received by:w�1 (.!. Inspector: Ernie Medina Initial: Date: `) I 5�- / �<•, Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am) UNIFIED PROGRAM INSPECTION CHECKLIST E Prevention Services B 14 ,; a s � , e „ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ! ° aRTN Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME V INSPECTION DATE INSPECTION TIME ❑ V64, _j_' 0c, ,A-7 ADDRESS ❑ PHONE NO. NO OF EMPLOYEES 13 OP/ 57vc-/c,4'��16 Hwy ❑ FACILITY CONTACT �IL� BUSIKESS ID NUMBER 15- 021 -000C2— ❑ CORRECT OCCUPANCY Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL �j ❑ VERIFICATION OF MSDS AVAILABILITY x❑ VERIFICATION OF HAZ MAT TRAINING 2'T Tom' LGS5 3n � ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED / ❑ HOUSEKEEPING ❑ FIRE PROTECTION N 40 � � �� 628 ail t�P� �� %2t G� (.cJa/L✓ = Rz ❑ SITE DIAGRAM ADEQUATE & ON HAND l N $� � ° si Gj�✓ ANY HAZARDOUS WASTE ON SITE? ❑ YES XN0 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / P' In / Shift of Site /Station # i e /Respond le Party (Please Print) __5) While - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 t Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 900 Truxtun Ave., Suite 2 10 xn CRT Bakersfield, CA 93301 SECTION 1: Business Plan and Invento Program �t Tel.: (661) 326 -3979 Inventory 1 7 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS : 00 ADDRESS PHONE NO. NO OF EMPLOYEES ❑ Business PLAN CONTACT INFORMATION ACCURATE 1 FACILITY CONTACT USIN SS ID NUMBER CA 9-;F3161 15 -021- a40 9-2- Section 1: Business Plan and Inventory Program ❑ ROUTINE ` COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND A ❑ Business PLAN CONTACT INFORMATION ACCURATE 1 CkY ❑ VISIBLE ADDRESS '9' r ❑ CORRECT OCCUPANCY I' ❑ VERIFICATION OF INVENTORY MATERIALS /'S El VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION `©' ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING gV07- N6-11/ A-1,9-7' �� .o (( ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 1 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED 0� ❑ HOUSEKEEPING ❑\ q FIRE PROTECTION - r ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ;B, NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 4444L.&— C�� ['\�e U Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business- -SIM -r sponsib a Party (Please Print) >s, White - Prevention Services Yellow - Station Copy Pink, - Business Copy FD 2155 (Rev. 09/05 DitS�/ I COa ,c-,'Acyz 912s 5 pw r 5xev s yev FACILITY NAME: 300 C � a ?mss Ill g 33/y Section 2: Underground Storage Tanks Program BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of I INSPECTION DATE: ❑ Routine 'W Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type o Tank arj Number of Tanks L% Type of Monitoring Type of Piping D W F OPERATION C V COMMENTS Proper tank data on file x Proper owner / operator data on file Permit fees current x Certification of Financial Responsibility Monitoring record adequate and current x Maintenance records adequate and current Failure to correct prior UST violations X Has there been an unauthorized release? ❑ Yes '�e No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding /labeling Is tank used to dispense MVF ?) If yes, does tank have overfill / overspill protection? C = Compliance V = Violation Y = Yes N = No Inspector: CSC /Vl' tjE&rW Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Pink - Business Copy ite Responsible Party KBF -7335 FD 2156 (Rev. 09/05)